The patient was evaluated at the beside with a sterile speculum exam for rupture of membranes.Upon questioning, the patient is denying any immediate gush of fluid.The sterile speculum exam showed no pooling.Nitrazine s/l enferon were negative.

We then paid attention to the perineoplasty.A triangular incision at the posterior s/l forcetwas performed with the apex approximating 1 cm away from the anus.We then placed an s/lintergrafted stitch through the bulbocavernosis mucosa _____ tissue on the other side.An additional supporting stitch was then placed.At this point, we were able to reapproximate the vaginal and the posterior s/l forcet using a 2-0 chromic in a running fashion.

Could this possibly be chole-vaginal or something similar to this? I can't find anything that is even close. Any suggestions?
You did mean *vaginal cuff* didn't you? nmSubject: You did mean *vaginal cuff* didn't you? nm

She complained of some burning when I did the pelvic exam. I feel like I know this one. My brain is mush. Baby was up all night, we're way behind, the house is a mess, and I'm sick as a dog. I just can't think straight.
Help - tension free vaginal tapeSubject: Help - tension free vaginal tape

Space aurexius? Sentence is....

The vagina appears atrophic, however, bleeding is brisk and indeed on entering the retroperitoneal space on the left side we get a fairly brisk bleed as though a vein from the space aurexius had actually been severed. HELP....anyone?

Is this correct? He says she has a thick yellow-gray discharge and a positive sniff test. Is it sniff, SNIFF or what. I surely hope this is not the literal meaning of sniff!! lol What a terrible job to have!